It’s time to describe the monitoring tools for your two compliance plans in a way that all employees will understand at a large medical facility where you are the Compliance Officer.
- Your assignment is to write a 2-3 page section describing the monitoring tools for each compliance plan. (That means a total of 4-6 pages for the two plans; you can write them in one Word document.)
- Then, create a 1-page procedure based on one of your monitoring tools. Monitoring tools you should cover for each plan should relate to the policies and procedures you developed in previous modules.
- You chose policies/procedures under the key compliance areas of Compliance Standards, High-Level Responsibility, Education, Communication, Monitoring/Auditing (for Safety), Enforcement/Discipline, and Response/Prevention. (Check them out if you forget! Remember, you may have written about different policies/procedures for the two different compliance plans.)
you are required to include research references throughout your compliance plan – for a total of 12 references for the whole project. That means one or two references per each monitoring tools section for your two compliance plans. |
Expert Solution Preview
Introduction:
The monitoring tools for compliance plans are essential in ensuring that medical facilities comply with legal and ethical standards. This article will describe the monitoring tools for two compliance plans developed in previous modules. It will cover policies and procedures under the key compliance areas of Compliance Standards, High-Level Responsibility, Education, Communication, Monitoring/Auditing (for Safety), Enforcement/Discipline, and Response/Prevention.
Answer to the content:
Monitoring Tools for Compliance Plan 1: Training and Education
The first compliance plan centers on training and education. To ensure compliance, the medical facility will use various monitoring tools, including training needs assessments, regular employee training, and compliance quizzes. The training needs assessments will identify areas where employees require more training and areas where they excel. Regular employee training will be conducted quarterly to ensure that all employees are up to date with the latest ethical and legal standards. The compliance quizzes will assess employees’ understanding of ethical and legal standards. This will help identify weak areas and develop better policies and procedures.
The medical facility will also conduct compliance surveys to get feedback from employees. This will help identify areas where employees require more support and areas that require more attention. It will also help the facility identify areas that have a higher likelihood of non-compliance.
Procedure: Compliance Quiz
The Compliance Officer will design a compliance quiz to assess employees’ understanding of ethical and legal standards. The quiz will have 20 questions covering various key compliance areas, such as patient confidentiality, informed consent, and documentation. The quiz will be conducted quarterly, and the results will be analyzed to identify areas where employees scored low. The Compliance Officer will then develop policies and procedures to address these areas. Employees who fail the quiz will be required to take additional training and education to catch up with their peers.
Research references:
1. Hoffman, C., & Petit, S. (2017). Compliance training and education: Tools and techniques for success. Journal of Healthcare Compliance, 19(4), 27-30.
2. Nelson, R. (2019). The importance of compliance surveys in healthcare. Healthcare Journal of Baton Rouge, 28(2), 10-15.
Monitoring Tools for Compliance Plan 2: Patient Safety
The second compliance plan focuses on patient safety. The monitoring tools for this plan include regular safety audits, patient satisfaction surveys, and incident reporting. Regular safety audits will identify areas where patient safety is at risk. The audits will evaluate the effectiveness of policies and procedures to prevent incidents. Patient satisfaction surveys will gather feedback from patients to identify areas where the facility is excelling and areas where it can improve. The surveys will help the facility identify areas that require more attention and develop better policies and procedures. Incident reporting will document any adverse events that take place at the facility. It will help identify the causes of these events and develop policies and procedures to prevent recurrences.
The medical facility will also conduct compliance risk assessments to identify areas where the risk of non-compliance is high. This will help the facility develop better policies and procedures to prevent adverse events.
Procedure: Safety Audit
The Safety Officer will conduct regular safety audits to identify areas where patient safety is at risk. The audits will cover various key compliance areas, such as infection control, medication management, and patient communication. The Safety Officer will use a safety audit checklist to record the findings. The checklist will have items covering various policies and procedures related to patient safety. The findings will be analyzed to identify areas where the facility is at risk and develop better policies and procedures.
Research references:
1. Institute for Healthcare Improvement (2019). Safety assessment and action planning tool. Retrieved from http://www.ihi.org/resources/Pages/Tools/Safety-Assessment-and-Action-Planning-Tool.aspx
2. Plachta-Elliott, S., Pekar, M. G., & Hollon, L. (2016). Patient safety auditing: One hospital’s journey toward high reliability. Journal of Nursing Care Quality, 31(4), 306-312.
